Second Year Rotation Clinics

General Outpatient Child and Adolescent Psychiatry Clinic

Second year fellows spend two days in this clinic which is housed in the Children’s Pavilion. Fellows provide initial clinical needs assessments for patients who have been referred to the Mental Health Service Line.  A significant proportion of patients are referred by pediatric specialists and have chronic physical health conditions.

After the initial assessment, if it is determined that the patient needs psychotropic medication management, the fellow continues to provide treatment. If the patient needs psychotherapy, the patient is either seen in the fellow’s psychotherapy clinic or referred to an individual therapist or for group therapy within or outside the CHKD system.

Patients are generally from southern and eastern parts of Virginia and from the southern part of North Carolina. Common diagnoses seen include trauma and stressor-related disorders, mood disorders, anxiety disorders, attention-deficit hyperactivity disorder, and other neurodevelopmental disorders.

Faculty

Mariam Rahmani, MD, Associate Professor
Carl Petersen, DO, Chief, Mental Health Service Line

Bridge Crisis Clinic

Second year fellows have this rotation for half-day a week for the entire second year of fellowship. It is the only outpatient rotation housed outside the Children’s Pavilion, on the South Campus (NDC) which is across the street.

This rotation offers an opportunity to assess subacute psychiatric presentations of children and adolescents to initiate care and identify level of care needed across the continuum of care from primary care and outpatient, intensive outpatient, partial hospitalization program, or specialized inpatient care. The fellow develops skills in brief assessment, psychoeducation, crisis intervention, and safety planning.

Many children referred to the Bridge clinic have been discharged recently from acute care, especially the emergency department, and may be considered appropriate for an intermediate level of care. 

Faculty

Thomas Henry, MD, Medical Director of Outpatient Mental Health Service Line

Autism Evaluation Clinic

Second year fellows have Autism Evaluation Clinic for half-day a week for the entire second year. This clinic is housed at the Children’s Pavilion.

Referrals are received from within the Mental Health Service Line. The fellows conduct developmental assessments including the Childhood Autism Rating Scale (CARS2). A case manager is available to connect patients with autism with appropriate community resources and behavioral interventions. If the patient needs ongoing psychiatric care, the fellow may continue seeing them in their general outpatient clinic. 

Faculty

Mariam Rahmani, MD, Associate Professor

Elective

Second year fellows have one day per week of elective for the entire second year. The elective may include clinical experience or research.

Psychotherapy Clinic

First year fellows have outpatient psychotherapy clinic for half-day a week for six months, in the second half of their first year. This is the only outpatient experience in the first year of fellowship.
Second year fellows have outpatient psychotherapy clinic for half-day a week for the entire second year.

This clinic is housed at the Children’s Pavilion Fellows are supervised by the Director of Psychotherapy Training, Dr. Rajesh Mehta, who is board-certified in Psychiatry and Child and Adolescent Psychiatry, and by Dr. Michael Shapiro, who is board-certified in Child and Adolescent Psychiatry.

Fellows start the afternoon with group supervision, followed by seeing two weekly psychotherapy patients, one adolescent and one pre-adolescent. Therapy modalities are determined by patient need, but include elements of psychodynamic, parent management training, cognitive behavioral therapy, family therapy, and dialectical behavioral therapy.

The therapy clinic begins in the second half of the CF 1 year and offers Fellows a series of didactics focused on therapy an opportunity to offer evaluations and provide psychotherapy to children and families across the age range from early childhood to transitional age youth.

Fellows will have access to real time supervision during the clinic and will progress from co-therapy with a supervisor to observed therapy to independent therapy.  Fellows will have direct supervision and indirect time for feedback in every session.  Faculty may include psychiatry, psychology, and social work professionals.

Faculty

Rajesh Mehta, MD, Assistant Professor, Director of Psychotherapy Training
Michael Shapiro, MD, Associate Professor, Medical Director